Subcapsular Liver Hematoma after Colonoscopy Diagnosed by Emergency Department Bedside Ultrasonography

Jammal, Mansour; Valesky, Walter; Das, Devjani; Brown, Cara; Kapoor, Monica

doi:10.1016/j.jemermed.2013.04.024

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…Noreña et al [ 18 ], reported a large subcapsular hepatic hematoma, right lobe laceration and hemoperitoneum 4 d after a routine colonoscopy. One more, lone hepatic injury was reported by Jammal et al [ 19 ], who described a subcapsular hepatic hematoma 6 h after colonoscopy.…”

Section: Hepatic Injury During Colonoscopymentioning

confidence: 90%

Trauma to the solid abdominal organs: The missed dark box of colonoscopy

Emara,

Mazid,

Elshaer

et al. 2024

World J Gastroenterol

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Colonoscopy is an integral part of the lower bowel care and is generally considered a potentially safe diagnostic and therapeutic procedure performed as a daycare outpatient procedure. Colonoscopy is associated with different complications that are not limited to adverse events related to the bowel preparation solutions used, the sedatives used, but to the procedure related as well including bleeding and perforation. Injuries to the extra-luminal abdominal organs during colonoscopy are uncommon, however, serious complications related to the procedure have been reported infrequently in the literature. Life threatening injuries to the spleen, liver, pancreas, mesentery, and urinary bladder have been reported as early as in mid-1970s. These injuries should not be overlooked by clinicians and endoscopists. Steadily increasing abdominal pain, abdominal distension, and hemodynamic instability in absence of rectal bleeding should raise the possibility of severe organ injury. Splenic and hepatic injury following colonoscopy are usually serious and may be life threatening. Although conservative management may help, yet they usually need interventional radiology or surgical intervention. Acute pancreatitis following colonoscopy is usually mild and is mostly managed conservatively. The mechanism of abdominal organ injuries during colonoscopy is not fully understood, however many risk factors have been identified, which can be classified as- organ related, procedure related, and local abdominal factors. Difficult colonoscopy and prior intra-abdominal adhesions are probably the most relevant risk factors for these injuries. Left lateral position, avoidance of looping and excessive force during the procedure would probably reduce the risk of such injuries.

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Section: Hepatic Injury During Colonoscopymentioning

confidence: 90%

Trauma to the solid abdominal organs: The missed dark box of colonoscopy

Emara,

Mazid,

Elshaer

et al. 2024

World J Gastroenterol

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“…In addition, massive subcapsular hepatic hematoma has been reported to occur following colonoscopy and, if ruptured, may be associated with substantial morbidity and mortality [15,69]. Similarly, case reports of mesenteric and retroperitoneal hematomas have been reported [70e72] and may be managed nonoperatively in stable patients.…”

Section: Extracolonic Sites Of Bleedingmentioning

confidence: 99%

The role of surgery in the treatment of endoscopic complications

Dixon

Kowdley

Cunningham

2016

Best Practice & Research Clinical Gastroenterology

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“…El hematoma subcapsular del hígado (HSH), es una condición infrecuente que se asocia a hipertensión del embarazo, como pre-eclampsia y síndrome HELLP (Ben Hamoula et al, 2008); trauma abdominal (Moore & Moore, 2010), tumores hepáticos primarios benignos como adenomas, hiperplasia nodular focal y hemangiomas (Ji et al, 2000;Dokmak et al, 2009;Huurman & Schaapherder, 2010); y malignos, como carcinoma hepatocelular (Maoz et al, 2010). También se ha reportado HSH en relación con colecistectomía (Guercio et al, 2008;Shibuya et al, 2010), colangiografía endoscópica (Servide et al, 2016;Roldán Villavicenci et al, 2019), colonoscopia (Jammal et al, 2013), litotripsia extracorpórea (Kim et al, 2010;Bi et al, 2018), y litotripsia biliar (McGrath et al, 1990). También hay reportes en los que el origen no fue posible precisar (Maoz et al;Cabral Matos, 2018).…”

Section: Introductionunclassified

Hematoma Subcapsular del Hígado. Morfología y Resultados del Tratamiento Quirúrgico

Manterola

2021

Int. J. Morphol.

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RESUMEN:El hematoma subcapsular del hígado (HSH), es una entidad poco frecuente. La mayoría de casos reportados se asocian al embarazo, en el contexto de síndrome de recuento bajo de plaquetas, elevación de enzimas hepáticas, y hemólisis. Otras patologías relacionadas son ruptura de carcinoma hepatocelular, adenoma, hiperplasia nodular focal; y amilosis. El objetivo de este artículo fue reportar morfología y resultados del tratamiento quirúrgico observados en una serie de pacientes con HSH, en términos de morbilidad postoperatoria (MPO). Serie de casos retrospectiva de pacientes con HSH intervenidos de forma consecutiva en Clínica RedSalud Mayor Temuco, entre 2004 y 2019. La variable resultado fue MPO. Otras variables de interés fueron edad, sexo, etiología, diámetro, necesidad de transfusión y tiempo de hospitalización. Se utilizó estadística descriptiva. Se trató a 7 pacientes (71,4 % mujeres), con una mediana de edad de 46 años. La mediana del diámetro del HSH, tiempo quirúrgico y estancia hospitalaria fueron 11 cm, 105 min y 5 días, respectivamente. No hubo necesidad de reintervenciones. Con una mediana de seguimiento de 31 meses, no se verificó MPO ni mortalidad. El HSH es una condición poco frecuente, y la evidencia disponible escasa. Puede asociarse a condiciones benignas y malignas. Requiere un alto índice de sospecha para un diagnóstico oportuno.Su pronóstico depende de la etiología.

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Subcapsular Liver Hematoma after Colonoscopy Diagnosed by Emergency Department Bedside Ultrasonography

Cited by 4 publications

References 17 publications

Trauma to the solid abdominal organs: The missed dark box of colonoscopy

Trauma to the solid abdominal organs: The missed dark box of colonoscopy

The role of surgery in the treatment of endoscopic complications

Hematoma Subcapsular del Hígado. Morfología y Resultados del Tratamiento Quirúrgico

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